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Ginsenoside Rg1 reduces cardiac inflammation against myocardial ischemia/reperfusion injury by inhibiting macrophage polarization 人参皂苷 Rg1 通过抑制巨噬细胞极化减轻心肌缺血再灌注损伤的心脏炎症反应
IF 6.8 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-01 DOI: 10.1016/j.jgr.2024.07.003
Xiaojin Xu , Qing Wu , Ke Pei , Meng Zhang , Chenhan Mao , Xinxin Zhong , Yunfan Huang , Yang Dai , Rui Yin , Zhaoyang Chen , Xindong Wang

Background

Myocardial ischemia/reperfusion (MI/R) injury is the main cause of death worldwide and poses a significant threat to cardiac health. Ginsenoside Rg1 has been shown to have inhibitory effects on inflammatory activation, oxidative stress, and cardiac injury, suggesting that Rg1 may have therapeutic effects on MI/R injury. However, the mechanism remains to be further studied.

Materials and methods

Left anterior descending coronary artery ligation was performed in Sprague-Dawley rats to construct an MI/R model in vivo. Organ index, electrocardiogram, infarct size, histopathological changes, and detection of cardiac injury and inflammatory factors in the rats were used to evaluate myocarditis, macrophage polarization, and fibrosis. We also used rat bone marrow-derived macrophages (BMDMs) to further investigate the effects of Rg1 on absent in melanoma 2 (AIM2) activation and macrophage polarization in vitro.

Results

Administration of Rg1 exhibited dose-dependent cardioprotective effects and effectively reduced MI/R injury. Rg1 significantly attenuated myocardial inflammation and inhibited M1 macrophage polarization during MI/R injury. Furthermore, Rg1 significantly reduced cardiac fibrosis in response to MI/R injury. This anti-fibrotic effect may contribute to the preservation of cardiac structure and function following an ischemic insult. Meanwhile, Rg1 effectively inhibited the activation of the AIM2 inflammasome in vitro, highlighting its potential as a key regulator of inflammatory pathways.

Conclusion

Our findings elucidate the multifaceted mechanisms underlying Rg1's cardioprotective effects, including its ability to mitigate inflammation, modulate macrophage polarization, and inhibit fibrosis.
背景心肌缺血/再灌注(MI/R)损伤是全球死亡的主要原因,对心脏健康构成重大威胁。人参皂苷 Rg1 对炎症激活、氧化应激和心脏损伤有抑制作用,这表明 Rg1 可能对心肌缺血再灌注损伤有治疗作用。材料和方法用 Sprague-Dawley 大鼠进行冠状动脉左前降支结扎,在体内构建 MI/R 模型。我们使用器官指数、心电图、梗塞大小、组织病理学变化以及心脏损伤和炎症因子检测来评估心肌炎、巨噬细胞极化和纤维化。我们还利用大鼠骨髓衍生巨噬细胞(BMDMs)进一步研究了 Rg1 对体外黑色素瘤 2(AIM2)活化和巨噬细胞极化的影响。Rg1 能明显减轻心肌梗死/再损伤过程中的心肌炎症反应并抑制 M1 巨噬细胞极化。此外,Rg1 还能明显减轻心肌梗死/再损伤时的心脏纤维化。这种抗纤维化作用可能有助于缺血损伤后心脏结构和功能的保护。同时,Rg1 在体外有效抑制了 AIM2 炎性体的激活,突出了其作为炎症通路关键调节因子的潜力。 结论我们的研究结果阐明了 Rg1 心脏保护作用的多方面机制,包括其缓解炎症、调节巨噬细胞极化和抑制纤维化的能力。
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引用次数: 0
Ginseng and ginseng byproducts for skincare and skin health 用于护肤和皮肤健康的人参和人参副产品
IF 6.8 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-01 DOI: 10.1016/j.jgr.2024.09.006
Ji-Hun Kim , Rami Lee , Sung-Hee Hwang , Sun-Hye Choi , Jong-Hoon Kim , Ik-Hyun Cho , Jeong Ik Lee , Seung-Yeol Nah
Ginseng is a traditional herbal medicine with a long history of use for the prevention and/or treatment of various diseases. Ginseng is used worldwide as a functional food to maintain human health. In addition, ginseng has been used as a raw ingredient in cosmetics with various applications, ranging from skin toning to anti-aging. Some cosmetic products contain ginseng extracts from Korea and other countries, as it is thought that ginseng can also exert beneficial effects on human skin. However, it remains unclear which ginseng component(s) could be the main active compound that directly contributes to skin health and/or prevents skin aging. It is also important to understand the mechanisms by which the ginseng component(s) exert their effects on the skin and skin health. This review describes recent in vitro and in vivo studies involving ginseng extracts, ginseng ingredients, and ginseng byproducts for skincare and skin health and discusses emerging evidence that ginsenosides, gintonin, and ginseng byproducts could be novel candidates for skincare and skin health applications ranging from anti-aging to the treatment of skin diseases such as atopic dermatitis and hypertrophic scars and keloids. The mechanisms underlying the beneficial effects of ginseng components and byproducts on skin health are discussed. In addition, this review shows how ginseng components, such as gintonin, a newly identified ginseng component, might contribute to skin health and skin disease when used as a supplementary ingredient in cosmetics and further proposes a novel combination in cosmetic products containing both ginsenosides and gintonin.
人参是一种传统草药,用于预防和/或治疗各种疾病的历史悠久。人参在世界各地被用作保持人体健康的功能性食品。此外,人参还被用作化妆品的原料,用途广泛,从调理皮肤到抗衰老。一些化妆品含有韩国和其他国家的人参提取物,因为人们认为人参也能对人体皮肤产生有益的影响。然而,目前还不清楚哪种人参成分可能是直接促进皮肤健康和/或防止皮肤老化的主要活性化合物。了解人参成分对皮肤和皮肤健康产生影响的机制也很重要。本综述介绍了最近涉及人参提取物、人参成分和人参副产品在护肤和皮肤健康方面的体外和体内研究,并讨论了人参皂苷、人参皂苷和人参副产品可能成为护肤和皮肤健康应用(从抗衰老到治疗特应性皮炎、增生性疤痕和瘢痕疙瘩等皮肤疾病)的新型候选物质的新证据。本综述讨论了人参成分和副产品对皮肤健康产生有益影响的机制。此外,这篇综述还展示了人参成分,如新发现的人参成分人参皂苷,在作为化妆品的辅助成分使用时,如何促进皮肤健康和皮肤疾病,并进一步提出了一种含有人参皂苷和人参皂苷的化妆品新组合。
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引用次数: 0
Maltol, a compound in Korean Red Ginseng, attenuates the Staphylococcus aureus–induced inflammasome activation in the skin 高丽红参中的一种化合物麦芽酚可减轻金黄色葡萄球菌诱导的皮肤炎症小体激活作用
IF 6.8 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-01 DOI: 10.1016/j.jgr.2024.09.008
Huijeong Ahn , Sangjung Yu , Byung-Cheol Han , Younghye Ro , Yo-Han Kim , Keiichiro Kizaki , Eunsong Lee , Seung-Ho Lee , Geun-Shik Lee

Background

Staphylococcus aureus can cause local or systemic infections as an opportunistic pathogen and induce the activation of inflammasomes, leading to the secretion of interleukin (IL)-1β. Since S. aureus is part of the normal flora, it is essential to control it using safe, non-antibiotic substances like Korean Red Ginseng Extract (RGE). This study investigated the effects of maltol, a non-saponin compound found in RGE, on S. aureus-mediated inflammasome signaling.

Methods

Human keratinocytes (HaCaT) and macrophages were infected with S. aureus and treated with RGE and maltol. The secretion of IL-1β, an indicator of inflammasome activation, was analyzed. For the mechanistic studies, the HaCaT cells were infected with S. aureus in the presence of maltol or inflammasome inhibitors, and the generation of mitochondrial reactive oxygen species (mitROS) and IL-1β production were measured. The effect of maltol was also evaluated in S. aureus-injected mice.

Results

RGE and maltol inhibited S. aureus-mediated IL-1β secretion in HaCaT, but not in macrophages. In the mechanistic studies, maltol suppressed the production of mitROS and the priming step of inflammasome signaling resulting in attenuated S. aureus-mediated inflammasome activation in HaCaT. In mice, maltol inhibited the production of peritoneal IL-1β and IL-6 in response to the S. aureus injection.

Conclusion

Maltol selectively regulated skin inflammasome activation by inhibiting mitROS generation and the inflammasome priming step.
背景金黄色葡萄球菌可作为机会性病原体引起局部或全身感染,并诱导炎性体活化,导致白细胞介素(IL)-1β的分泌。由于金黄色葡萄球菌是正常菌群的一部分,因此必须使用安全、非抗生素物质(如高丽红参提取物)来控制它。本研究调查了高丽红参提取物中的一种非皂甙化合物麦芽酚对金黄色葡萄球菌介导的炎性体信号转导的影响。方法用金黄色葡萄球菌感染人角质细胞(HaCaT)和巨噬细胞,并用高丽红参提取物和麦芽酚处理。分析了炎性体活化指标 IL-1β 的分泌情况。在机理研究中,在麦芽酚或炎症小体抑制剂存在的情况下用金黄色葡萄球菌感染 HaCaT 细胞,测量线粒体活性氧(mitROS)的生成和 IL-1β 的产生。结果 RGE 和麦芽酚抑制了金黄色葡萄球菌介导的 IL-1β 在 HaCaT 中的分泌,但没有抑制巨噬细胞的分泌。在机理研究中,麦芽酚抑制了 mitROS 的产生和炎性体信号转导的启动步骤,从而减弱了金黄色葡萄球菌介导的炎性体在 HaCaT 中的激活。在小鼠体内,麦芽酚抑制了腹膜 IL-1β 和 IL-6 的产生,以应对金黄色葡萄球菌的注射。
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引用次数: 0
Ginsenoside Rc prevents dexamethasone-induced muscle atrophy and enhances muscle strength and motor function 人参皂苷 Rc 可防止地塞米松诱发的肌肉萎缩,增强肌肉力量和运动功能
IF 6.3 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-09-11 DOI: 10.1016/j.jgr.2024.09.002
Aeyung Kim, Sang-Min Park, No Soo Kim, Musun Park, Seongwon Cha
A decline in muscle mass and function can impact the health, disease vulnerability, and mortality of older adults. Prolonged use of high doses of glucocorticoids, such as dexamethasone (DEX), can cause muscle wasting and reduced strength. Ginsenoside Rc (gRc) has been shown to protect muscles by activating the PGC-1α pathway and improving mitochondrial function. The effects of gRc on muscle atrophy and function in mice are not fully understood. The study discovered that gRc prevented the DEX-induced decrease in viability of C2C12 myoblasts and myotubes. Furthermore, gRc inhibited myotube degradation and the upregulation of muscle degradation proteins induced by DEX. Transcriptome analysis of myotubes showed that gRc enhances muscle generation processes while suppressing the TGF-β pathway and oxidative stress response. In mice, gRc effectively reversed the reductions in body weight, muscle mass, and muscle fibers caused by DEX. Furthermore, gRc significantly enhanced muscle strength and exercise capacity. Docking and transcriptome analyses indicated that gRc may act as a competitive inhibitor of DEX at the glucocorticoid receptor, potentially preventing muscle loss. The study suggests that gRc can prevent DEX-induced muscle wasting and weakness. Consequently, it may be a viable treatment option for sarcopenia and muscle-related disorders in various medical conditions.
肌肉质量和功能的下降会影响老年人的健康、疾病易感性和死亡率。长期使用大剂量糖皮质激素,如地塞米松(DEX),会导致肌肉萎缩和力量下降。研究表明,人参皂苷 Rc(gRc)可通过激活 PGC-1α 通路和改善线粒体功能来保护肌肉。目前还不完全清楚人参皂苷 Rc 对小鼠肌肉萎缩和功能的影响。研究发现,gRc能防止DEX诱导的C2C12成肌细胞和肌管活力下降。此外,gRc还能抑制DEX诱导的肌管降解和肌肉降解蛋白的上调。肌细胞的转录组分析表明,gRc在抑制TGF-β途径和氧化应激反应的同时,还能增强肌肉的生成过程。在小鼠体内,gRc能有效逆转DEX导致的体重、肌肉质量和肌肉纤维的减少。此外,gRc 还能明显增强肌肉力量和运动能力。对接和转录组分析表明,gRc可能是DEX在糖皮质激素受体上的竞争性抑制剂,有可能防止肌肉流失。这项研究表明,gRc 可以防止 DEX 引起的肌肉萎缩和虚弱。因此,它可能是治疗各种病症中肌肉疏松症和肌肉相关疾病的一种可行方法。
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引用次数: 0
Ethanol extract of lymphanax with gypenoside 17 and ginsenoside Re exerts anti-inflammatory properties by targeting the AKT/NF-κB pathway 含有刺五加甙 17 和人参皂苷 Re 的淋巴皂苷乙醇提取物通过靶向 AKT/NF-κB 通路发挥抗炎作用
IF 6.3 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-08-25 DOI: 10.1016/j.jgr.2024.08.003
Wooram Choi, Hyun Soo Kim, Donghyun Kim, Yong Deog Hong, Hyoung-June Kim, Ji Hye Kim, Jong-Hoon Kim, Jae Youl Cho
Ginseng is processed into several types such as white ginseng, red ginseng, and black ginseng, according to the processing methods such as drying, steaming, and heating. These processing conditions can change the portion of the useful ingredients. Recently, new processing method was established to develop ‘lymphanax’, an aged fresh white ginseng prepared under anaerobic condition. This aging process was revealed to increase the content of gypenoside 17 (Gyp17) as well as ginsenoside Re, known to have anti-inflammatory effects. As the next step, therefore, we aimed to investigate the anti-inflammatory activity of lymphanax using its ethanol extract of lymphanax (Lymphanax-EE). LC-MS/MS identified the ginsenoside content of lymphanax-EE. A nitric oxide (NO) assay revealed the anti-inflammatory activity of lymphanax-EE. Pro-inflammatory gene expression was analyzed by quantitative PCR. Finally, we identified the underlying mechanism for the anti-inflammatory activity of lymphanax-EE through luciferase analysis, Western blotting, and CETSA. The LC-MS/MS analysis revealed lymphanax-EE to contain more protopanaxatriol-type ginsenosides, and Gyp17 than fresh ginseng. Lymphanax-EE (0–200 μg/ml) suppressed NO release and mRNA levels of pro-inflammatory cytokines such as iNOS and COX-2 in LPS-treated RAW264.7 cells. Moreover, lymphanax-EE (200 μg/ml) reduced the activity of NF-κB and phosphorylation of NF-κB signal proteins such as p65, p50, IκBα, and IKKα/β. Finally, lymphanax-EE (200 μg/ml) decreased the phosphorylation of IKKα/β induced by AKT overexpression. Among the components of lymphanax-EE, ginsenoside Re and Gyp17 were found to suppress AKT1 activity. Lymphanax-EE-containing ginsenosides and Gyp17 with anti-inflammatory properties suppressed LPS-induced inflammation by reducing the NF-κB signal.
根据烘干、蒸煮和加热等加工方法,人参被加工成多种类型,如白参、红参和黑参。这些加工条件会改变有用成分的比例。最近,人们建立了新的加工方法,开发出在厌氧条件下制备的陈年新鲜白参 "lymphanax"。研究发现,这种陈化过程增加了人参皂苷 17(Gyp17)和人参皂苷 Re 的含量,而人参皂苷 Re 具有抗炎作用。因此,我们下一步的目标是利用淋巴杉乙醇提取物(Lymphanax-EE)研究淋巴杉的抗炎活性。LC-MS/MS鉴定了Lymphanax-EE中的人参皂苷含量。一氧化氮(NO)测定显示了Lymphanax-EE的抗炎活性。通过定量 PCR 分析了促炎基因的表达。最后,我们通过荧光素酶分析、Western 印迹和 CETSA 确定了 lymphanax-EE 抗炎活性的内在机制。LC-MS/MS分析显示,与新鲜人参相比,淋巴-EE含有更多的原人参三醇型人参皂甙和Gyp17。Lymphanax-EE(0-200 μg/ml)可抑制LPS处理的RAW264.7细胞中NO的释放以及iNOS和COX-2等促炎细胞因子的mRNA水平。此外,lympanax-EE(200 μg/ml)还能降低NF-κB的活性以及NF-κB信号蛋白(如p65、p50、IκBα和IKKα/β)的磷酸化。最后,lympanax-EE(200 μg/ml)降低了AKT过表达诱导的IKKα/β磷酸化。在Lymphanax-EE的成分中,发现人参皂苷Re和Gyp17能抑制AKT1的活性。具有抗炎特性的人参皂苷和Gyp17通过减少NF-κB信号抑制了LPS诱导的炎症。
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引用次数: 0
Enhancement of skin regeneration through activation of TGF-β/SMAD signaling pathway by Panax ginseng meyer non-edible callus-derived extracellular vesicles 三七麦芽非食用茧源性细胞外囊泡通过激活 TGF-β/SMAD 信号通路促进皮肤再生
IF 6.3 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-08-23 DOI: 10.1016/j.jgr.2024.08.002
Ha Young Park, Min Ho Kang, Guewha Lee, Jin Woo Kim
This study aimed to investigate the effects of ginseng non-edible callus-derived extracellular vesicle (GNEV) on skin regeneration, particularly focusing on its impact on proliferation and migration in human dermal fibroblast (HDF). GNEV was isolated from ginseng non-edible callus using sequential filtration and size exclusion chromatography (SEC). The extracellular vesicle was characterized using nanoparticle tracking analysis (NTA). HDF was treated with various concentrations of GNEV, and cell viability, proliferation, and migration were assessed using MTT and scratch wound healing assays. Gene expression related to collagen synthesis () was measured using RT-PCR. Treatment of HDF with GNEV resulted in a significant 2.5-fold increase in cell migration compared to the non-treated group. Furthermore, GNEV demonstrated the upregulation of collagen synthesis genes, specifically , and , by 41.7 %, 59.4 %, 60.2 %, and 21.8 %, respectively. These findings indicated that GNEV activates the signaling pathway, showcasing its potential to induce skin regeneration. In conclusion, GNEV exhibits a notable ability to enhance skin regeneration through its stimulatory effects on cell migration and the upregulation of key collagen synthesis genes. The activation of the signaling pathway further suggests the potential of GNEV as a promising candidate for drug delivery systems in the fields of cosmetics and pharmaceuticals, opening avenues for further research and application in skincare and dermatology.
本研究旨在探讨人参非食用胼胝体衍生的细胞外囊泡(GNEV)对皮肤再生的影响,尤其是对人真皮成纤维细胞(HDF)增殖和迁移的影响。利用顺序过滤和尺寸排阻色谱法(SEC)从人参非食用胼胝体中分离出细胞外囊泡。利用纳米粒子跟踪分析(NTA)对细胞外囊泡进行了表征。用不同浓度的 GNEV 处理 HDF,并用 MTT 和划痕伤口愈合试验评估细胞活力、增殖和迁移。采用 RT-PCR 技术测定了与胶原合成()相关的基因表达。用 GNEV 处理 HDF 后,细胞迁移率比未处理组显著增加了 2.5 倍。此外,GNEV 还能上调胶原合成基因,特别是 、 和 ,上调幅度分别为 41.7%、59.4%、60.2% 和 21.8%。这些发现表明,GNEV 激活了信号通路,展示了其诱导皮肤再生的潜力。总之,GNEV 通过刺激细胞迁移和上调关键胶原合成基因,表现出显著的促进皮肤再生的能力。信号通路的激活进一步表明,GNEV 有潜力成为化妆品和药品领域药物输送系统的候选物质,为护肤品和皮肤病学的进一步研究和应用开辟了道路。
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引用次数: 0
The synergistic effects of Korean Red Ginseng and Cervi Parvum Cornu ameliorating FeCl3-induced arterial thrombosis by downregulating ICAM-1 and VCAM-1 高丽红参和鹿茸通过下调 ICAM-1 和 VCAM-1 改善氯化铁诱导的动脉血栓形成的协同作用
IF 6.8 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-06-07 DOI: 10.1016/j.jgr.2024.06.001

In this study, we compared antithrombotic activities of Korean Red Ginseng (KRG) and Cervi Parvum Cornu (CPC) on rats with induced thrombosis. Results indicate that KRG and CPC suppressed the arterial occlusion and the combination of KRG and CPC (KRG + CPC) treatment exhibited a synergistic effect with maximum reduction in thrombosis.

本研究比较了高丽红参(KRG)和鹿茸(CPC)对诱发血栓形成的大鼠的抗血栓活性。结果表明,KRG 和 CPC 可抑制动脉闭塞,而 KRG 和 CPC(KRG + CPC)联合治疗可发挥协同作用,最大程度地减少血栓形成。
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引用次数: 0
The beneficial potential of ginseng for menopause 人参对更年期的潜在益处
IF 6.8 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-05-31 DOI: 10.1016/j.jgr.2024.05.008

Korean Red Ginseng (KRG) has long been used not only as a food supplement but also as a treatment for various diseases. Ginseng originated in South Korea, which later spread to China and Japan, has a wide range of pharmacological activities including immune, endocrine, cardiovascular, and central nervous system effects. KRG is produced by repetitions of steaming and drying of ginseng to extend preservation. During this steaming process, the components of ginseng undergo physio-chemical changes forming a variety of potential active constituents including ginsenoside-Rg3, a unique compound in KRG. Pandemic Coronavirus disease 2019 (COVID-19), has affected both men and women differentially. In particular, women were more vulnerable to COVID-related distress which in turn could aggravate menopause-related disturbances. Complementary and alternative medicinal plants could have aided middle-aged women for several menopause-related symptoms during and post COVID-19 pandemic. This review aimed to explore the beneficial effects of KRG on menopausal symptoms and gynecological cancer.

长期以来,高丽红参(KRG)不仅被用作食品补充剂,还被用来治疗各种疾病。人参起源于韩国,后来传播到中国和日本,具有广泛的药理作用,包括免疫、内分泌、心血管和中枢神经系统作用。KRG 是通过反复蒸煮和干燥人参来延长保存时间的。在蒸制过程中,人参的成分会发生物理化学变化,形成多种潜在的活性成分,包括人参皂苷-Rg3,这是 KRG 中的一种独特化合物。2019 年流行性冠状病毒病(COVID-19)对男性和女性的影响各不相同。特别是,女性更容易受到与 COVID 相关的困扰,这反过来又会加重与更年期相关的困扰。在 COVID-19 大流行期间和之后,补充和替代药用植物可以帮助中年女性缓解一些与更年期有关的症状。本综述旨在探讨 KRG 对更年期症状和妇科癌症的有益影响。
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引用次数: 0
Enhanced immunity effect of Korean Red Ginseng capsule: A randomized, double-blind and placebo-controlled clinical trial 高丽红参胶囊增强免疫力的作用:随机、双盲和安慰剂对照临床试验
IF 6.8 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-05-31 DOI: 10.1016/j.jgr.2024.05.007
<div><h3>Background</h3><p>As a physiological function of body, immunity can maintain health by identifying itself and excluding others. With economic development and increasingly fierce social competition, the number of sub-healthy population is gradually increasing, and the most basic problem exposed is human hypoimmunity. Hypoimmunity can be manifested as often feeling tired, catching colds, mental depression, etc. In order to enhance immunity, eating healthy foods with the effect of enhancing immunity may become an effective choice. KRG has pharmacological effects of enhancing immunity. Because the screening and evaluation method of immune population are not unified, there are relatively few KRG immunity tests for sub-health population. It is of great significance to study the effect of KRG on people with hypoimmunity to improve sub-health status.</p></div><div><h3>Methods</h3><p>This was a 180-day, randomized, double-blind, placebo-controlled clinical trial. According to the trial scheme design, 119 qualified subjects were included and randomly divided into the test group taking KRG and the placebo control group. Subjects need to check safety indicators (blood pressure and heart rate, blood routine, liver and kidney function, urine routine and stool routine) and efficacy indicators (main and secondary) inspection at baseline, efficacy indicators inspection during the mid-term of the test (90th days of administration), safety and efficacy indicators inspection after the test (180th days of administration).</p></div><div><h3>Results</h3><p>After the test, the safety indicators of placebo control group and KRG test group were basically within the normal range, and there is no significant difference in fireness score between the two groups. Through follow-up interviews, it was found that the subjects in the test group and the control group had no adverse reactions and allergic reactions such as nausea, flatulence, diarrhea, and abdominal pain during the test period. Self-comparison of the test group, the results of the main efficacy indicators: (1) immune related health scores were significantly improved in the mid-term and after the test (<em>P</em> < 0.01), (2) CD3 and CD4/CD8 increased significantly after the test (<em>P</em> < 0.05), (3) IgG, IgA, IgM and WBC increased significantly in the mid-term and after the test (<em>P</em> < 0.01); the results of the secondary efficacy indicators: (1) TNF-α decreased significantly in the mid-term (<em>P</em> < 0.05), IFN-γ decreased significantly in the mid-term (<em>P</em> < 0.01), (2) NK increased significantly in the mid-term and after the test (<em>P</em> < 0.05), (3) monocyte increased significantly in the mid-term and after the test (<em>P</em> < 0.01). Inter-group comparison of the test group and the control group, the results of the main efficacy indicators: (1) immune related health scores were higher than that of the control group in the mid-term and after the test (<em>P
免疫作为人体的一种生理功能,可以通过识别自身、排除他物来维护健康。随着经济的发展和社会竞争的日益激烈,亚健康人群逐渐增多,暴露出的最基本问题就是人体免疫力低下。免疫力低下可表现为经常感到疲劳、感冒、精神不振等。要想增强免疫力,食用具有增强免疫力功效的健康食品不失为一种有效的选择。KRG 具有增强免疫力的药理作用。由于对免疫人群的筛查和评估方法不统一,针对亚健康人群的 KRG 免疫力检测相对较少。研究 KRG 对免疫力低下人群的作用,对改善亚健康状态具有重要意义。这是一项为期 180 天的随机、双盲、安慰剂对照临床试验。根据试验方案设计,119 名合格受试者被随机分为服用 KRG 的试验组和安慰剂对照组。受试者需在基线时进行安全性指标(血压和心率、血常规、肝肾功能、尿常规和大便常规)和疗效指标(主要指标和次要指标)检查,在试验中期(服药第90天)进行疗效指标检查,在试验结束后(服药第180天)进行安全性和疗效指标检查。试验后,安慰剂对照组和 KRG 试验组的安全性指标基本在正常范围内,两组的火热度评分无明显差异。通过随访发现,试验组和对照组受试者在试验期间均未出现恶心、胀气、腹泻、腹痛等不良反应和过敏反应。试验组自我比较,主要疗效指标结果:(1)免疫相关健康评分在试验中期和试验后均明显提高(<0.01),(2)CD3和CD4/CD8在试验后明显提高(<0.05),(3)IgG、IgA、IgM和WBC在试验中期和试验后均明显提高(<0.01);次要疗效指标结果:(1)TNF-α中期明显下降(<0.05),IFN-γ中期明显下降(<0.01);(2)NK中期及试验后明显升高(<0.05);(3)单核细胞中期及试验后明显升高(<0.01)。试验组与对照组组间比较,主要疗效指标结果:(1)试验组免疫相关健康评分在试验中期和试验后均高于对照组(< 0.01),(2)试验组 IgA 在试验中期和试验后均高于对照组(< 0.05);次要疗效指标结果:(1)试验组白细胞在中期高于对照组(<0.05);(2)试验组单核细胞在中期和试验后均高于对照组(<0.05),试验组中性粒细胞在中期高于对照组(<0.05)。服用 KRG 对受试者的健康没有不良影响。根据临床试验方案的标准,免疫相关健康评分和主要疗效指标中的 IgA 均为阳性,这表明 KRG 有助于提高人体免疫力。
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引用次数: 0
Effect of ginseng and ginsenosides on attention deficit hyperactivity disorder: A systematic review 人参和人参皂苷对注意力缺陷多动障碍的影响:系统综述
IF 6.8 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-05-28 DOI: 10.1016/j.jgr.2024.05.006

Attention deficit hyperactivity disorder (ADHD) is a rapidly increasing neurodevelopmental disorder but currently available treatments are associated with abuse risk, side effects, and incomplete symptom relief. There is growing interest in exploring complementary options, and ginseng has gained attention for its therapeutic potential. This systematic review aimed to assess current evidence on the efficacy of ginseng and its active components, ginsenosides, for ADHD. Eligible studies were identified through searches of PubMed, Embase, Cochrane Library, and Web of Science, up to June 2023. The inclusion criteria included both human and animal studies that investigated the effects of ginseng or ginsenosides on ADHD. The risk of bias was assessed according to study type. Six human studies and three animal studies met the inclusion criteria. The results suggest that ginseng and ginsenosides may have beneficial effects on ADHD symptoms, particularly inattention, through dopaminergic/norepinephrinergicmodulation and BDNF/TrkB signaling. Ginseng and ginsenosides have promising potential for ADHD treatment. Due to limitations in evidence quality, such as the risk of bias and variability in study designs, larger controlled studies are essential. Integrating ginseng into ADHD management may have valuable implications for individuals seeking well-tolerated alternatives or adjunctive therapies.

注意力缺陷多动障碍(ADHD)是一种快速增长的神经发育障碍,但目前可用的治疗方法存在滥用风险、副作用和症状缓解不彻底等问题。人们对探索辅助治疗方案的兴趣与日俱增,而人参因其治疗潜力而备受关注。本系统综述旨在评估人参及其活性成分人参皂苷对多动症疗效的现有证据。截至 2023 年 6 月,通过检索 PubMed、Embase、Cochrane Library 和 Web of Science,确定了符合条件的研究。纳入标准包括调查人参或人参皂甙对多动症影响的人类和动物研究。根据研究类型对偏倚风险进行了评估。六项人类研究和三项动物研究符合纳入标准。研究结果表明,人参和人参皂苷可能通过多巴胺能/去甲肾上腺素能调节和BDNF/TrkB信号转导对多动症症状,尤其是注意力不集中产生有益影响。人参和人参皂苷具有治疗多动症的潜力。由于证据质量的局限性,如偏倚风险和研究设计的差异性,因此必须进行更大规模的对照研究。将人参纳入多动症治疗可能对寻求耐受性良好的替代疗法或辅助疗法的患者具有重要意义。
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引用次数: 0
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Journal of Ginseng Research
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